NPI | 1043612682 |
---|---|
Former Name | EMILY KIME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085455) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 087473) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2017-05-05 |